Maternal risk factors for the VACTERL association: A EUROCAT case-control study
Background The VACTERL association (VACTERL) is the nonrandom occurrence of at least three of these congenital anomalies: vertebral, anal, cardiac, tracheoesophageal, renal, and limb anomalies. Despite suggestions for involvement of several genes and nongenetic risk factors from small studies, the e...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Wiley
2020
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| _version_ | 1826271879960199168 |
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| author | van de Putte, R van Rooij, IALM Haanappel, CP Marcelis, CLM Brunner, HG Addor, M-C Cavero-Carbonell, C Dias, CM Draper, ES Etxebarriarteun, L Gatt, M Khoshnood, B Kinsner-Ovaskainen, A Klungsoyr, K Kurinczuk, JJ Latos-Bielenska, A Luyt, K O'Mahony, MT Miller, N Mullaney, C Nelen, V Neville, AJ Perthus, I Pierini, A Randrianaivo, H Rankin, J Rissmann, A Rouget, F Schaub, B Tucker, D Wellesley, D Wiesel, A Zymak-Zakutnia, N Loane, M Barisic, I de Walle, HEK Bergman, JEH Roeleveld, N |
| author_facet | van de Putte, R van Rooij, IALM Haanappel, CP Marcelis, CLM Brunner, HG Addor, M-C Cavero-Carbonell, C Dias, CM Draper, ES Etxebarriarteun, L Gatt, M Khoshnood, B Kinsner-Ovaskainen, A Klungsoyr, K Kurinczuk, JJ Latos-Bielenska, A Luyt, K O'Mahony, MT Miller, N Mullaney, C Nelen, V Neville, AJ Perthus, I Pierini, A Randrianaivo, H Rankin, J Rissmann, A Rouget, F Schaub, B Tucker, D Wellesley, D Wiesel, A Zymak-Zakutnia, N Loane, M Barisic, I de Walle, HEK Bergman, JEH Roeleveld, N |
| author_sort | van de Putte, R |
| collection | OXFORD |
| description | Background
The VACTERL association (VACTERL) is the nonrandom occurrence of at least three of these congenital anomalies: vertebral, anal, cardiac, tracheoesophageal, renal, and limb anomalies. Despite suggestions for involvement of several genes and nongenetic risk factors from small studies, the etiology of VACTERL remains largely unknown.
Objective
To identify maternal risk factors for VACTERL in offspring in a large European study.
Methods
A case–control study was performed using data from 28 EUROCAT registries over the period 1997–2015 with case and control ascertainment through hospital records, birth and death certificates, questionnaires, and/or postmortem examinations. Cases were diagnosed with VACTERL, while controls had a genetic syndrome and/or chromosomal abnormality. Data collected included type of birth defect and maternal characteristics, such as age, use of assisted reproductive techniques (ART), and chronic illnesses. Multivariable logistic regression analyses were performed to estimate confounder adjusted odds ratios (aOR) with 95% confidence intervals (95% CI).
Results
The study population consisted of 329 VACTERL cases and 49,724 controls with recognized syndromes or chromosomal abnormality. For couples who conceived through ART, we found an increased risk of VACTERL (aOR 2.3 [95% CI 1.3, 3.9]) in offspring. Pregestational diabetes (aOR 3.1 [95% CI 1.1, 8.6]) and chronic lower obstructive pulmonary diseases (aOR 3.9 [95% CI 2.2, 6.7]) also increased the risk of having a child with VACTERL. Twin pregnancies were not associated with VACTERL (aOR 0.6 [95% CI 0.3, 1.4]).
Conclusion
We identified several maternal risk factors for VACTERL in offspring befitting a multifactorial etiology.
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| first_indexed | 2024-03-06T22:03:42Z |
| format | Journal article |
| id | oxford-uuid:4f72b932-fdda-4b36-9081-e2003b223178 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T22:03:42Z |
| publishDate | 2020 |
| publisher | Wiley |
| record_format | dspace |
| spelling | oxford-uuid:4f72b932-fdda-4b36-9081-e2003b2231782022-03-26T16:07:39ZMaternal risk factors for the VACTERL association: A EUROCAT case-control studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4f72b932-fdda-4b36-9081-e2003b223178EnglishSymplectic ElementsWiley2020van de Putte, Rvan Rooij, IALMHaanappel, CPMarcelis, CLMBrunner, HGAddor, M-CCavero-Carbonell, CDias, CMDraper, ESEtxebarriarteun, LGatt, MKhoshnood, BKinsner-Ovaskainen, AKlungsoyr, KKurinczuk, JJLatos-Bielenska, ALuyt, KO'Mahony, MTMiller, NMullaney, CNelen, VNeville, AJPerthus, IPierini, ARandrianaivo, HRankin, JRissmann, ARouget, FSchaub, BTucker, DWellesley, DWiesel, AZymak-Zakutnia, NLoane, MBarisic, Ide Walle, HEKBergman, JEHRoeleveld, NBackground The VACTERL association (VACTERL) is the nonrandom occurrence of at least three of these congenital anomalies: vertebral, anal, cardiac, tracheoesophageal, renal, and limb anomalies. Despite suggestions for involvement of several genes and nongenetic risk factors from small studies, the etiology of VACTERL remains largely unknown. Objective To identify maternal risk factors for VACTERL in offspring in a large European study. Methods A case–control study was performed using data from 28 EUROCAT registries over the period 1997–2015 with case and control ascertainment through hospital records, birth and death certificates, questionnaires, and/or postmortem examinations. Cases were diagnosed with VACTERL, while controls had a genetic syndrome and/or chromosomal abnormality. Data collected included type of birth defect and maternal characteristics, such as age, use of assisted reproductive techniques (ART), and chronic illnesses. Multivariable logistic regression analyses were performed to estimate confounder adjusted odds ratios (aOR) with 95% confidence intervals (95% CI). Results The study population consisted of 329 VACTERL cases and 49,724 controls with recognized syndromes or chromosomal abnormality. For couples who conceived through ART, we found an increased risk of VACTERL (aOR 2.3 [95% CI 1.3, 3.9]) in offspring. Pregestational diabetes (aOR 3.1 [95% CI 1.1, 8.6]) and chronic lower obstructive pulmonary diseases (aOR 3.9 [95% CI 2.2, 6.7]) also increased the risk of having a child with VACTERL. Twin pregnancies were not associated with VACTERL (aOR 0.6 [95% CI 0.3, 1.4]). Conclusion We identified several maternal risk factors for VACTERL in offspring befitting a multifactorial etiology. |
| spellingShingle | van de Putte, R van Rooij, IALM Haanappel, CP Marcelis, CLM Brunner, HG Addor, M-C Cavero-Carbonell, C Dias, CM Draper, ES Etxebarriarteun, L Gatt, M Khoshnood, B Kinsner-Ovaskainen, A Klungsoyr, K Kurinczuk, JJ Latos-Bielenska, A Luyt, K O'Mahony, MT Miller, N Mullaney, C Nelen, V Neville, AJ Perthus, I Pierini, A Randrianaivo, H Rankin, J Rissmann, A Rouget, F Schaub, B Tucker, D Wellesley, D Wiesel, A Zymak-Zakutnia, N Loane, M Barisic, I de Walle, HEK Bergman, JEH Roeleveld, N Maternal risk factors for the VACTERL association: A EUROCAT case-control study |
| title | Maternal risk factors for the VACTERL association: A EUROCAT case-control study |
| title_full | Maternal risk factors for the VACTERL association: A EUROCAT case-control study |
| title_fullStr | Maternal risk factors for the VACTERL association: A EUROCAT case-control study |
| title_full_unstemmed | Maternal risk factors for the VACTERL association: A EUROCAT case-control study |
| title_short | Maternal risk factors for the VACTERL association: A EUROCAT case-control study |
| title_sort | maternal risk factors for the vacterl association a eurocat case control study |
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